HomeMy WebLinkAboutPermit Building 1992-6-24
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Ollice: 72G.3759
.
!NUMBER ~/~
225 Filth Street
Springtield, Oregon 97477
LOCATION 01' PROPOSED WORK: 5"'789 I;f~~~~ ~
/7-0Z.-2:R-~
OWNER: -7#~ ,7'
ADDflESS: ' _ -5'~,g-.
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ASSESSORS MAP:
LOT:
CITY: ___
DESCRIBE WORK,
NEW --X- REMODEL
ADDITION
CONTflACTOll'S NAME .
GENERAL: _ ,~h/.I"fZ~
PLUMBING: _
MECHANICAL'
ELECTRICAL:
QUAD AREA:
. OF BLOCS:
QCCY GROUP:
II OF STOnIE~;:._
WATER HEATER'
S"RINGFIELD
BLOCK:
/::rO?5/
TAX LOT: r!:>?7~
SUBDIVISION:
PHONE,
'72C -~"'3/ /
0/<'
-.
/l/~:2/r~~;z;bi>/~ .
REQUIRED INSPECTIONS
o Rough Mechanical - Prior to
cover.
o Rough Electrical - Prior to
cover.
o Electrical Service - Must be
approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
o Framing - Prior to cover.
o Wnll/Ceiling Insulation - Prior to
cover.
o Drywall - PrIor to taping.
o Wood Stove - After Installation.
o Insert - After fireplace approval
anel Installation of unit.
o
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
STATE:
DEMOLISH
OTHER
ZIP'
EXPIRES
PHONE
ADDRESS
CONST.
CONTRACTOR'
FLOOD PLAIN:
ZONING CODE:_
. OF BDRMS:
SECONDARY HEAT: ___
SQUARE FOOTAGE:
To request an inspection, you must call 726.3769. This Is a 24 hour recording. Alllnspeclions requested before 7:00 a.m. will be
made the sallie working day. Inspecllons requested after 7:00 a.m. will be made the following work day.
o Tcmpor:lry Electric
o
Site Inspection - To be made
alter excavation. but prior to
selling forms.
o
Undcrslab Plumbingl Electricall
Mechanical - Prior to cover.
IKI
Footing - After trenches are
excavated.
o
Mnsolll'Y - Steel location, bond
beams. urouting.
o Foundntion - After forms are
crecteel but prior 10 concrete
plaCQIllI}nt.
o Underground Plumbing - Prior
to filllnu Irencll.
o
Underlloor Plumbingl Mechanical
_ Priol to Insulation or decking.
o Post and Beam - Prior to floor
insulation or decking.
o Floor Insulation - Prior to
decking. .
o
SanilalY Sewer - Prior 10 filling
trench,
o
Storm Sewer - Prior 10 filling
trench.
o Water LIne - Prior to filling
trenell.
o RouOh Plumbing - Prior to
cover.
- OFFICE USE -
LAND USE:
. OF UNITS,
CONSTR. TYPE:
HEAT SOURCE,
RANGJ::'
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub.base material in place.
o Fence - When completed.
o Street Trees - When all required
trees are planted. '..
o
Final Plumbing - When all
plumbing worl~ is complet,e.
o Final Electrical - Wilen all
electrical work is complete.
o Final Mechanical - WtlCn atl
mechanical work is completc.
lKl Final Building - When all
required inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set.Up - When all
blocking Is complete.
o Plumbing Connections - Wilen
home has been connected to
water and sewer.
o Eleclrical Connection - When
blocking, sel.up, and plumbing
inspections have been approved
and the home is connected to
the service panel.
o Final - After all required
inspections are approved and
porches, skirting, decks, and
venting have been Installed.
Lot faces
#-
lol sq. ftg.
Lot coverage
Topography
Total height
BUILDING PERMIT
ITEM sa. FT.
Main
Garage
Carport
";?q'l
Total Value
Building Permit Fee
Stale Surcharge
Total Fee
lot Type.
Interior
Corner
Panhandle'
, 'i
Cul-de:sac
I PL. HSE GAR Acc-I
IN
Is
jiiv .'. _'J'b{ .~.<
~--~
VALUE
::;?~c::;"'9.. y..?'
/~5Z>
/' /. 9"3
!/O ,,13
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Residential Bath(s)
Sanitary Sewer
Water
Storm'Sewer
Mobile Home
Plumbing Permit
Slate Surcharge
Tolal Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Van I Fan
X $/SO. FT.
$'/b
/'
(A) .
N'
FT.
FT.
. FT.
(C)
Dryer Vent
Wood StovellnsertlFircplace Unit
N'
Mechanical Permit
Issuance
State Surcharge
Tolal Permit
(D)
Mobile Home
MISCELLANEOUS PERMITS
State Issuance
Stalo Surohorgo
Sidewalk
It
Curbcut
It
Demolition
Stale Surcharge
Total Miscellaneous Permits (E)
FEE
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
th-? ~
Setbacks
.S THE PROPOSED WORK IN THE
_ .HISTORICAl DISTRICT, OR ON
-r.THE'HISTORICAl REGISTER?
If,yes, this 'application must be sIgned
and approved by the Historical
, C~?rdinator prior to permit issuance,
~,
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APPROVED'
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permIt is granted on the express condition that the said
construction shall, in all respects, conform to tile OrdInance
adopted by the City of Springfield, Including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any prOVisions of said ordinances,
Plan Check Fee: ''70-<:):3
Date Paid: ..k- 2 'i-'9 '2--
Receipt Number'
,
_<f2:."2;!..s::?2
Date
Systems Development Charge Is duc on all undeveloped
properties within the City limits which are being improved.
ADDITIONAL COMMENTS
By signature, I slate and agree, thai I have carefully examined
the completed application and do hereby ClJrlify that all
Information hereon Is true and correct. and I furlher certify'
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield. <lnd Ihe Laws
of the State of Oregon perlainlng to the wOlk described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division,
I further certHy thai only contractors and employees who
are In compliance with ORS 701,055 will be used on this
project.
I further agree to ensure that all required Inspections are
requesled at the proper time. that each address is readable
from the street, that the permit card is located at the front
of the property, and the approved set of plans will remain
on the site at all times during ,construction.
.~).~..J-c{J
Date /.' -I-d - q 4
. I /-
VALIDATION:
5' 2., 5<:;
,?, - "2 '7'-&3 2
AMOUNT RECEIVE!' C:;;;: '7' h
RECEIVED BY ~~---
RECEIPT NUMBER
DATE PAID
.